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When symptoms are present, they usually relate to the underlying condition causing the elevation rather than the high B12 itself

Thats kind of the fundamental basis, then you can diverge out to other specialty labs based on the patients complaint

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In addition, more CD4 + T cells expressed interferon- and interleukin (IL)-2, and increased plasma levels of IL-6, macrophage inflammatory protein 1, IL-1, tumor necrosis factor-alpha and the soluble IL-1 receptor antagonist in the Long COVID patients [59, 62, 63, 67,68,69,70], indicating activation of M1 macrophages and T helper (Th)-1 phenotypes [33]

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Thats because it uses BioResponse DIM (BR-DIM), a more bioavailable form that has been used in many clinical studies and shown to produce higher blood levels of DIM compared to standard crystalline forms.5 However, Nutricost ultimately earns the advantage by delivering a significantly higher dose 300mg per serving